Richmond Interscholastic
Soccer Officials Association		
9861 Waterfowl Flyway
Chesterfield, VA 23838
Commissioner@risoa.org

SUBSTITUTE FORM W-9
RISOA/VHSL MEMBERSHIP APPLICATION for 2005-2006 SEASON

I hereby apply for registration as a Virginia High School League Soccer Official through the RICHMOND INTERSCHOLASTIC SOCCER OFFICIALS ASSOCIATION for the 
School Year 2005-2006.

Name _______________________________________________    SS# ______ - _____ - ________

Mailing Address (P.O. Box or Street): __________________________________________________ 

City: __________________________  State _________  Zip Code: ________ - ______

Home Telephone: ____ - ____ - _______     Work Telephone:	____ - ____ - _________

Cell Telephone:    ____ - ____ - _______	Pager Number:	____ - ____ - _________

(Fax) ____ - ____ - _______	(E-mail) ____________________________________(Please print clearly)
					
Have you ever applied to be a VHSL Official in another Sport other than Soccer?  YES / NO
If yes, identify Sport(s) _______________  Years of Registration _______________

Have you ever been convicted of a Felony?   YES / NO

School Affiliation: ________________________________________________________
(High School you and/or your children attend(ed) or you have a work relationship with)

Enclosed is a $35.00 check payable to RISOA, INC.  (Note:  None of the dues paid to RISOA, Inc. are deductible as charitable contributions.)   Or check here (_____) for payment by payroll deduction.

Registration covers the school year 2005-2006.
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For VHSL USE:
Fees paid by RISOA Check #: __________	Amount for this Official: _____________

Date received: ________________________
Richmond Interscholastic
Soccer Officials Association
(804) 744-3538
13602 Timber Ridge Court
Midlothian, Virginia 23112
Treasurer@risoa.org

REFEREE DECLARATION and VERIFICATION FORM
for the 2004-2005 SEASON

RISOA, Inc. and Referee agree that Referee shall be affiliated with VHSL and RISOA, Inc., as an independent contractor for Federal, State and Local Income and Employment Tax purposes, and not as an employee.  RISOA, Inc., and Referee shall each file such Federal, State and Local tax forms/returns as may be required of each of them to report the income earned by Referee as an independent contractor.

This relationship goes into effect upon the offering and acceptance of any assignments between RISOA, Inc., and Referee.

In affiliating with RISOA as Referee, you join with hundreds of other people – players and families, coaches, school administrators, and other referees - for the purpose of providing high quality soccer matches at the scholastic level.  As a consequence, the highest level of professionalism is expected in honoring your commitments.  Following the established requirements of RISOA regarding availability for and accepting assignments, contacting schools and members of your referee team, arriving at the match site on time and prepared to conduct a high-quality match, and timely completion of all required reports are the minimum expectations.  Further, RISOA expects its officials to honor their commitments and not shop for matches.  

Should you agree that this is the level of professionalism to which you aspire, we welcome you into the association.

REFEREE PRINT FULL NAME: _______________________________________

REFEREE SIGNATURE: ___________________________________________

SS# _____ - ____ - _______    D.O.B.  _____/_____/______

TODAY’S DATE: _____/_____/______